| Knee arthroscopy with meniscectomy | CPT | 29881 | 6 | $438.06 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 6 | $80.76 |
| Total hip replacement | CPT | 27130 | 6 | $1,031.61 |
| Total knee replacement | CPT | 27447 | 6 | $1,006.25 |
| Total shoulder arthroplasty | CPT | 23472 | 6 | $1,161.6 |
| Hip hemiarthroplasty | CPT | 27125 | 6 | $910.52 |
| Knee revision arthroplasty single component | CPT | 27486 | 6 | $1,154.28 |
| Knee revision arthroplasty all components | CPT | 27487 | 6 | $1,405.31 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 6 | $871.18 |
| ACL reconstruction | CPT | 29888 | 6 | $805.18 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | $3,736.69 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | $3,635.66 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | $3,635.66 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | $2,947.6 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | $2,851.17 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | $2,793.17 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | $4,519.32 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | $5,013.99 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | $5,013.99 |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 6 | $5,433.82 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 6 | $5,256.04 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 6 | $5,140.26 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | $3,176.7 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | $3,381.84 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | $4,966.53 |
| COPD w MCC | MS-DRG | 190 | 6 | $3,756.88 |
| COPD w CC | MS-DRG | 191 | 6 | $3,737.46 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | $3,786.05 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | $9,812.55 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | $9,812.55 |
